Microrna composition for the treatment of neuroblastoma

ABSTRACT

Certain embodiments are directed to methods of identifying neuroblastoma differentiation-inducing compounds or agent and their use in treating neuroblastoma.

This application claims priority to U.S. Provisional Patent ApplicationSer. No. 61/939,730 filed Feb. 13, 2014, which is incorporated herein byreference in its entirety.

The invention was made with government support under grant PR121532awarded by Department of Defense; P30 CA054174-17 and CTSA 1UL1RR025767-01 awarded by the National Institutes of Health. Thegovernment has certain rights in the invention.

BACKGROUND

Neuroblastoma is the most common solid tumor of infancy and the mostcommon extracranial solid tumor of childhood, accounting for more than7% of childhood cancers and 15% of cancer-related childhood deaths(Maris et al., Lancet, 2007, 369(9579):2106-20; Park et al., HematolOncol Clin North Am, 2010, 24(1):65-86). Neuroblastoma arises from theneural crest cell precursors of the sympathetic nervous system that failto differentiate (Park et al., Hematol Oncol Clin North Am, 2010,24(1):65-86; Brodeur, Nat Rev Cancer, 2003, 3(3):203-16)—this providesthe basis for differentiation therapy, an approach to induce malignantcells to differentiate into mature cells, thereby leading to cell growtharrest and apoptosis (Park et al., Hematol Oncol Clin North Am, 2010,24(1):65-86; Reynolds, Curr Oncol Rep 2000, 2(6):511-18; Cruz andMatushansky, Oncotarget, 2012, 3(5):559-67; Nowak et al., Blood, 2009,113(16):3655-65). However, only a limited number of differentiationagents have been successfully used to treat neuroblastoma. Thedifferentiation agent 13-cis-retinoic acid (RA) is currently thestandard of care for post-remission maintenance therapy in high-riskneuroblastoma (Park et al., Hematol Oncol Clin North Am, 2010,24(1):65-86). Although such treatment has resulted in a significantincrease in patient survival, more than 50% of the treated patientsstill develop recurrence (Matthay et al., J. Clin Oncol, 2009,27(7):1007-13; Matthay et al., N Engl J Med, 1999, 341(16):1165-73).Such poor outcomes demand the development of new differentiation agents.Unfortunately, the mechanisms that result in the loss of differentiationability of neuroblastoma cells are poorly understood, which poses anobstacle to such development. Therefore, identifying additionaldifferentiation agents largely relies on the discovery of new targetablebiological molecules that play critical roles in neuroblastomadifferentiation.

High-throughput screening approaches significantly facilitate thediscovery of novel anti-cancer drugs and drug targets. More recently,high-content screens (HCSs) based on automated cell imaging have beendeveloped. However, current HCSs generally either use genetic engineeredcell lines expressing fluorescent signals or involve staining of fixedcells (Conrad and Gerlich, J Cell Biol, 2010, 188(4):453-61; Jan et al.,ACS Nano, 2008, 2(5):928-38), which are generally time-consuming andconsequently limit their broad applications to drug discoveries.

miRNAs are endogenously expressed small RNAs that play a critical rolein tumorigenesis (Shenouda and Alahari, Cancer Metastasis Rev, 2009,28(3-4):369-78; Li et al., Aaps J, 2010, 12(3):309-17; Kinoshita et al.,Oncotarget, 2012, 3(11):1386-1400; Kopp and Roidl, Oncotarget 2013; Bieret al., Oncotarget, 2013, 4(5):665-76). The therapeutic potential ofeither exogenously increasing cellular miRNAs levels with syntheticmiRNA mimics, or inactivating endogenous miRNAs with synthetic miRNAinhibitors has been demonstrated in previous studies (Kota et al., Cell,2009, 137(6):1005-17; Krutzfeldt et al., Nature, 2005, 438(7068):685-89;Trang et al., Mol Ther, 2011, 19(6):1116-22). The role of miRNAs inneuroblastoma differentiation and tumorigenesis has been implicated (Linet al., Cancer Res, 2010, 70(20):7841-50; Chang et al., Nat Genet, 2008,40(1):43-50; Wei et al., Oncogene, 2008, 27(39):5204-13; Tivnan et al.,BMC Cancer, 2011, 11:33; Makeyev et al., Mol Cell, 2007, 27(3):435-48;Annibali et al., PLoS One, 2012, 7(7):e40269; Le et al., Mol Cell Biol,2009, 29(19):5290-305; Foley et al., Cell Death Differ, 2011,18(7):1089-98; Swarbrick et al., Nat Med, 2010, 16(10):1134-40), whichsuggests the potential of developing novel miRNA-targeting approaches toneuroblastoma differentiation therapy (Mishra and Merlino, J ClinInvest, 2009, 119(8):2119-23), and warrants a comprehensiveunderstanding of the involvement of miRNAs in neuroblastoma celldifferentiation. However, there has been no concerted effort tocomprehensively investigate the functions of the miRNA species inneuroblastoma differentiation.

SUMMARY

Neuroblastoma, the most common extracranial solid tumor of childhood,arises from neural crest cell precursors that fail to differentiate.Inducing cell differentiation is an important therapeutic strategy forneuroblastoma. Embodiments are directed to a direct functionalhigh-content screen to identify differentiation-inducing microRNAs.

Other embodiments are directed to a microRNA-based differentiationtherapy for neuroblastoma. MicroRNAs have been discovered that induceneuroblastoma cell differentiation. In certain aspects thedifferentiation-inducing microRNAs are based from three microRNA seedfamilies. In certain aspects a therapeutic miRNA is a recombinant miRNAmimic and explicitly excludes a naturally occurring miRNA. The seed hasbeen defined as nucleotides 2-8 of a miRNA. Based on the examplesstudied to date, a large fraction of targets contain in their 3′ UTRsperfect Watson-Crick complementary sites to the seed of the miRNA. Whilethis is not a universal rule, it is one of the best features thatdescribes miRNA targets. There are other features, such as low GCcontent around the seed, and the preferential positioning of the targetsite towards the edges of the 3′UTRs. Certain microRNA seed families areoverrepresented in an identified group of fourteendifferentiation-inducing microRNAs, suggesting that microRNA seedfamilies may be functionally relevant in neuroblastoma differentiation.In certain aspects the differentiation-inducing microRNA is a member ofthe microRNA-506-3p/microRNA-124-3p seed family. Thedifferentiation-inducing function of microRNA-506-3p/microRNA-124-3p ismediated, at least partially, by down-regulating expression of theirtargets CDK4 and STAT3. The expression of miR-506-3p (maturesequence=uaaggcacccuucugaguaga (SEQ ID NO:1)), but not miR-124-3p(mature sequence=uaaggcacgcggugaaugcc (SEQ ID NO:2)), is dramaticallyupregulated in differentiated neuroblastoma cells, suggesting theimportant role of endogenous miR-506-3p in differentiation andtumorigenesis. The functional screen on microRNAs provided acomprehensive analysis of the involvement of microRNA species inneuroblastoma cell differentiation and identified noveldifferentiation-inducing microRNAs.

Certain embodiments are directed to non-fluorescent, live-cell basedhigh content screen (HCS) method for identifying neuroblastomadifferentiation-inducing agents. Neurite outgrowth, which is easilydetectable under the microscope, is a well-recognized morphologicaldifferentiation marker of neuroblastoma cells in vitro (Thiele et al.,Nature, 1985, 313(6001):404-06; Pahlman et al., Int J Cancer, 1981,28(5):583-89; Reynolds and Perez-Polo, J Neurosci Res, 1981,6(3):319-25; Prasad and Kumar, Cancer, 1975, 36(4):1338-43). Whileundifferentiated cells usually show no visible neurites, fullydifferentiated neuroblastoma cells form neurites that are four to fivetimes the length of the cell body. This differentiation traitfacilitates the design of a functional HCS assay to directly identifysubstances that induce neuroblastoma cell differentiation.

Certain embodiments are directed to a screen for microRNAs (miRNAs) thatinduce differentiation. By applying the HCS new differentiation-inducingmiRNAs were discovered.

In certain aspects a miRNA mimic comprises a seed sequence of aaggcac(SEQ ID NO:3). In a further aspect a neuroblastomadifferentiation-inducing miRNA is miR-506-3p or an miRNA mimiccomprising the mature sequence thereof.

The term “microRNA” or “miRNA” is used according to its ordinary andplain meaning and refers to a microRNA molecule found in eukaryotes thatis involved in RNA-based gene regulation. See, e.g., Carrington et al.,2003, which is hereby incorporated by reference. The term will be usedto refer to the single-stranded RNA molecule processed from a precursor.Individual miRNAs have been identified and sequenced in differentorganisms, and they have been given names. Names of miRNAs and theirsequences are provided herein. Additionally, other miRNAs are known tothose of skill in the art and can be readily implemented in embodimentsof the invention. The methods and compositions should not be limited tomiRNAs identified in the application, as they are provided as examples,not necessarily as limitations of the invention.

The present invention concerns, in some embodiments, short nucleic acidmolecules that function as miRNAs (i.e., mimics) in a cell. The term“short” refers to a length of a single polynucleotide that is 150nucleotides or fewer. The nucleic acid molecules are synthetic. The term“synthetic” means the nucleic acid molecule is isolated and notidentical in sequence (the entire sequence) and/or chemical structure toa naturally-occurring nucleic acid molecule, such as an endogenousprecursor miRNA molecule. While in some embodiments, nucleic acids ofthe invention do not have an entire sequence that is identical to asequence of a naturally-occurring nucleic acid, such molecules mayencompass all or part of a naturally-occurring sequence. It iscontemplated, however, that a synthetic nucleic acid administered to acell may subsequently be modified or altered in the cell such that itsstructure or sequence is the same as non-synthetic or naturallyoccurring nucleic acid, such as a mature miRNA sequence. For example, asynthetic nucleic acid may have a sequence that differs from thesequence of a precursor miRNA, but that sequence may be altered once ina cell to be the same as an endogenous, processed miRNA.

The term “isolated” means that the nucleic acid molecules of theinvention are initially separated from different (in terms of sequenceor structure) and unwanted nucleic acid molecules such that a populationof isolated nucleic acids is at least about 90% homogenous, and may beat least about 95, 96, 97, 98, 99, or 100% homogenous with respect toother polynucleotide molecules. In many embodiments of the invention, anucleic acid is isolated by virtue of it having been synthesized invitro separate from endogenous nucleic acids in a cell. It will beunderstood, however, that isolated nucleic acids may be subsequentlymixed or pooled together.

Of course, it is understood that a “synthetic nucleic acid” of theinvention means that the nucleic acid does not have a chemical structureor sequence of a naturally occurring nucleic acid. Consequently, it willbe understood that the term “synthetic miRNA” refers to a “syntheticnucleic acid” that functions in a cell or under physiological conditionsas a naturally occurring miRNA.

While many of the embodiments of the invention involve synthetic miRNAsor synthetic nucleic acids, in some embodiments of the invention, thenucleic acid molecule(s) need not be “synthetic.” In certainembodiments, a non-synthetic miRNA employed in methods and compositionsof the invention may have the entire sequence and structure of anaturally occurring miRNA precursor or the mature miRNA. For example,non-synthetic miRNAs used in methods and compositions of the inventionmay not have one or more modified nucleotides or nucleotide analogs. Inthese embodiments, the non-synthetic miRNA may or may not berecombinantly produced. In particular embodiments, the nucleic acid inmethods and/or compositions of the invention is specifically a syntheticmiRNA and not a non-synthetic miRNA (that is, not an miRNA thatqualifies as “synthetic”); though in other embodiments, the inventionspecifically involves a non-synthetic miRNA and not a synthetic miRNA.Any embodiments discussed with respect to the use of synthetic miRNAscan be applied with respect to non-synthetic miRNAs, and vice versa.

It will be understood that the term “naturally occurring” refers tosomething found in an organism without any intervention by a person; itcould refer to a naturally-occurring wildtype or mutant molecule. Insome embodiments a synthetic miRNA molecule does not have the sequenceof a naturally occurring miRNA molecule. In other embodiments, asynthetic miRNA molecule may have the sequence of a naturally occurringmiRNA molecule, but the chemical structure of the molecule, particularlyin the part unrelated specifically to the precise sequence (non-sequencechemical structure) differs from chemical structure of the naturallyoccurring miRNA molecule with that sequence. In some cases, thesynthetic miRNA has both a sequence and non-sequence chemical structurethat are not found in a naturally-occurring miRNA. Moreover, thesequence of the synthetic molecules will identify which miRNA iseffectively being provided; the endogenous miRNA will be referred to asthe “corresponding miRNA.” Corresponding miRNA sequences that can beused in the context of the invention include, but are not limited to,miR-506-3p or seed family members of the miR-506-3p/miR-124-3p family aswell as any other miRNA sequence, miRNA precursor sequence, or anysequence complementary thereof. In some embodiments, the sequence is oris derived from a probe sequence identified in the appendix to targetthe particular miRNA (or set of miRNAs) that can be used with that probesequence.

In some embodiments, there is a synthetic miRNA having a length ofbetween 17 and 130 residues. The present invention concerns syntheticmiRNA molecules that are, are at least, or are at most 15, 16, 17, 18,19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36,37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54,55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72,73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90,91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106,107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120,121, 122, 123, 124, 125, 126, 127, 128, 129, or 130 residues in length,or any range derivable therein.

In certain embodiments, synthetic miRNA have (a) an “miRNA region” whosesequence from 5′ to 3′ is identical to a mature miRNA sequence, and (b)a “complementary region” whose sequence from 5′ to 3′ is between 60% and100% complementary to the miRNA sequence. In certain embodiments, thesesynthetic miRNA are also isolated, as defined above.

The term “miRNA region” refers to a region on the synthetic miRNA thatis at least 90% identical to the entire sequence of a mature, naturallyoccurring miRNA sequence. In certain embodiments, the miRNA region is oris at least 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 99.1, 99.2, 99.3,99.4, 99.5, 99.6, 99.7, 99.8, 99.9 or 100% identical to the sequence ofa naturally-occurring miRNA.

The term “complementary region” refers to a region of a synthetic miRNAthat is or is at least 60% complementary to the mature, naturallyoccurring miRNA sequence that the miRNA region is identical to. Thecomplementary region is or is at least 60, 61, 62, 63, 64, 65, 66, 67,68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85,86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 99.1, 99.2,99.3, 99.4, 99.5, 99.6, 99.7, 99.8, 99.9 or 100% complementary, or anyrange derivable therein. With single polynucleotide sequences, there isa hairpin loop structure as a result of chemical bonding between themiRNA region and the complementary region. In other embodiments, thecomplementary region is on a different nucleic acid molecule than themiRNA region, in which case the complementary region is on thecomplementary strand and the miRNA region is on the active strand.

The term “effective amount” means an amount effective, at dosages andfor periods of time necessary, to achieve the desired therapeutic orprophylactic result.

An “effective amount” of an anti-cancer agent in reference to decreasingcancer cell growth, means an amount capable of decreasing, to someextent, the growth of some cancer or tumor cells. The term includes anamount capable of invoking a growth inhibitory, cytostatic and/orcytotoxic effect and/or apoptosis of the cancer or tumor cells.

A “therapeutically effective amount” in reference to the treatment ofcancer, means an amount capable of invoking one or more of the followingeffects: (1) inhibition, to some extent, of cancer or tumor growth,including slowing down growth or complete growth arrest; (2) reductionin the number of cancer or tumor cells; (3) reduction in tumor size; (4)inhibition (i.e., reduction, slowing down, or complete stopping) ofcancer or tumor cell infiltration into peripheral organs; (5) inhibition(i.e., reduction, slowing down, or complete stopping) of metastasis; (6)enhancement of anti-tumor immune response, which may, but is notrequired to, result in the regression or rejection of the tumor, or (7)relief, to some extent, of one or more symptoms associated with thecancer or tumor. The therapeutically effective amount may vary accordingto factors such as the disease state, age, sex and weight of theindividual and the ability of one or more anti-cancer agents to elicit adesired response in the individual. A “therapeutically effective amount”is also one in which any toxic or detrimental effects are outweighed bythe therapeutically beneficial effects.

The phrases “treating cancer” and “treatment of cancer” mean todecrease, reduce, or inhibit the replication of cancer cells; decrease,reduce or inhibit the spread (formation of metastases) of cancer;decrease tumor size; decrease the number of tumors (i.e. reduce tumorburden); lessen or reduce the number of cancerous cells in the body;prevent recurrence of cancer after surgical removal or other anti-cancertherapies; or ameliorate or alleviate the symptoms of the disease causedby the cancer.

The terms “inhibiting,” “reducing,” or “prevention,” or any variation ofthese terms, when used in the claims and/or the specification includesany measurable decrease or complete inhibition to achieve a desiredresult.

Other embodiments of the invention are discussed throughout thisapplication. Any embodiment discussed with respect to one aspect of theinvention applies to other aspects of the invention as well and viceversa. Each embodiment described herein is understood to be embodimentsof the invention that are applicable to all aspects of the invention. Itis contemplated that any embodiment discussed herein can be implementedwith respect to any method or composition of the invention, and viceversa. Furthermore, compositions and kits of the invention can be usedto achieve methods of the invention.

The use of the word “a” or “an” when used in conjunction with the term“comprising” in the claims and/or the specification may mean “one,” butit is also consistent with the meaning of “one or more,” “at least one,”and “one or more than one.”

Throughout this application, the term “about” is used to indicate that avalue includes the standard deviation of error for the device or methodbeing employed to determine the value.

The use of the term “or” in the claims is used to mean “and/or” unlessexplicitly indicated to refer to alternatives only or the alternativesare mutually exclusive, although the disclosure supports a definitionthat refers to only alternatives and “and/or.”

As used in this specification and claim(s), the words “comprising” (andany form of comprising, such as “comprise” and “comprises”), “having”(and any form of having, such as “have” and “has”), “including” (and anyform of including, such as “includes” and “include”) or “containing”(and any form of containing, such as “contains” and “contain”) areinclusive or open-ended and do not exclude additional, unrecitedelements or method steps.

Other objects, features and advantages of the present invention willbecome apparent from the following detailed description. It should beunderstood, however, that the detailed description and the specificexamples, while indicating specific embodiments of the invention, aregiven by way of illustration only, since various changes andmodifications within the spirit and scope of the invention will becomeapparent to those skilled in the art from this detailed description.

DESCRIPTION OF THE DRAWINGS

The following drawings form part of the present specification and areincluded to further demonstrate certain aspects of the presentinvention. The invention may be better understood by reference to one ormore of these drawings in combination with the detailed description ofthe specification embodiments presented herein.

FIG. 1A-1F. Neurite length is a quantifiable differentiation marker ofBE(2)-C cells. 2,500 cells were plated in 96-well plates and culturedovernight. Cells were then treated with ATRA or carrier (DMSO, control)and placed into the IncuCyte for detecting neurite outgrowth. Nineimages were taken from each well to allow for statistical analysis.Relative neurite length is defined as neurite length per cell body area.(A) ATRA induces neurite outgrowth. Shown are representativephase-contrast images for cells treated with (a) carrier or (b) ATRA for5 days, and (c, d) the same images analyzed to define neurites and cellbody areas. (B) Quantification shows that ATRA significantly increasesthe relative neurite length compared to control. (C) Relative neuritelengths increase in a time-dependent manner during ATRA-induced celldifferentiation. Neurite lengths were normalized to the starting timepoint (0 h). (D) Dose-dependent effect of ATRA on neurite outgrowth.Shown are the results after treating with ATRA for 5 days. (E)Dose-dependent effect of ATRA on cell viability. Cells were treated withdifferent concentrations of ATRA, and cell viability was determinedafter 5 days. (F) Dose dependent effect of ATRA on the expression levelsof cell differentiation markers GAP43, NSE and β tubulin III, cellproliferation markers Ki67 and PCNA, and apoptotic markers cleavedCASPASE 3 and PARP. Cells were treated with ATRA as above, and proteinlevels were determined by Western blots after 5 days. **, p<0.01; ***,p<0.001; ****, p<0.0001.

FIG. 2A-2C. HCS screening of miRNA mimics identifies miRNAs that induceneurite outgrowth in BE(2)-C cells. (A-B) 2,500 cells werereverse-transfected with 25 nM miRNA mimics in 96-well plates. After 4days transfection, relative neurite lengths were quantified as above.(A) The distribution of post-normalized neurite length measurements(grey histogram) for individual miRNA mimics from the screen and thefitted Gamma distribution curve (␣=3.27, ┘=0.444) (B) Correlationbetween two independent neurite length measurements for one libraryplate. Cells were transfected with 25 nM mimics in two independent96-well plates. Normalized neurite lengths were measured as above.Correlation of neurite length between the two plates was analyzed usingtwo-tailed Pearson Correlation with p<0.05 considered significant. (C)The distribution of the neurite lengths for untreated BE(2)-C cells.2,500 Cells were plated into each well in 96 well plates. After 4 daysof culture, neurite lengths were analyzed as above. Shown are theneurite length distribution histogram, the empirical density curve, andthe fitted Gamma distribution curve (␣=30.23, ␣=0.033). Using the P<0.05threshold, Kolmogorov-Smirnov goodness-of-fit test for Gamma modelvalidity did not reject the null hypothesis (p=0.16), which support thatthe neurite length distribution fit Gamma model.

FIG. 3A-3G. Characterization of the effect of the top 5 neurite-inducingmiRNA mimics on cell differentiation and growth in multipleneuroblastoma cell lines. (A-B) Effects of the identified top 5 miRNAmimics on neurite outgrowth. BE(2)-C cells were transfected with 25 nMmiRNA mimics or control for 4 days, and relative neurite lengths werequantified as above. Shown are representative cell images analyzed todefine neurite and cell body areas (A) and neurite lengthquantifications (B). (C) Effects of the 5 miRNA mimics on expression ofdifferentiation markers. BE(2)-C cells were transfected with 25 nM ofthe indicated miRNA mimics or control, and proteins levels were examinedafter 4 days. (D) Effects of the 5 miRNA mimics on cell proliferationrate. (E) Effect of the 5 miRNAs on neurite outgrowth in multiple celllines. Cells were transfected with 25 nM miRNA mimics or control, andneurite lengths were quantified as above after 5 days. (F-G) Effects ofmiR-506-3p (F) and miR-124-3p (G) mimics on expression ofdifferentiation markers in multiple cell lines. *, p<0.05; **, p<0.01;***, p<0.001; **** , p<0.0001.

FIG. 4A-4H. Characterization of the tumor suppressive function ofmiR-506-3p/miR-124-3p family. (A-C) Colony formation assay as a functionof miR-124-3p and miR-506-3p mimics. BE(2)-C cells were transfected withthe 25 nM of the indicated oligos and colony formation were examined asabove. Shown are (A) plate images of colony formation and quantifiedcolony numbers (B) and sizes (C). (D-E) Effect of miR-124-3p andmiR-506-3p precursors on neurite outgrowth. BE(2)-C cells weretransfected with or without 10 nM miRNA precursors. Shown are (D)Representative images analyzed to define neurites and cell body areasafter 4 days transfections and (E) quantification of relative neuritelengths. (F) Effect of cell differentiation on endogenous expression ofmiR-506-3p and miR-124-3p in BE(2)-C cells. (G) Dose-dependent effect ofmiR-506-3p mimic on neurite outgrowth in BE(2)-C cells. Cells weretransfected with different concentrations of miR-506-3p mimic, andrelative neurite lengths were quantified as above after 4 days. Neuritelengths were normalized to control (0 nM). (H) Dose-dependent effect ofmiR-506-3p mimic and cis-RA on cell viability in BE(2)-C cells. Cellswere transfected with different concentrations of miR-506-mimic for 4days or treated with different concentrations of cis-RA for 5 days, andcell viability was determined as above. *, p<0.05; **, p<0.01; ***,p<0.001; ****, p<0.0001.

FIG. 5. Enrichment analysis of seed families in a set of 14 miRNAs byrandom permutation. Bar shows the probability (p=2.2×10⁻⁷) that at least7 non-unique seed sequences appear in a randomly selected set of 14miRNAs.

FIG. 6. The predicted differentiation-inducing targetome network for theidentified 14 differentiation-inducing miRNAs. The 14 miRNAs weregrouped into 10 seed-sequence groups. Predicted targets previouslyreported as involved in neuroblastoma differentiation were used tocreate the targetome network.

FIG. 7A-7F. Validation of CDK4 and STAT3 as direct targets that mediatethe differentiation-inducing function of miR-506-3p and miR-124-3p. (A)The predicted interactions between miR-506-3p/miR-124-3p and the targetsites in the 3′UTR of STAT3 and CDK4 rnRNAs. The seed sequences areunderlined. (SEQ ID NOS: 1, 2, 18, 19, 20, 21) (B-C) Validation of thetarget sites of miR-506-3p and miR-124-3p in the 3′UTRs of (B) CDK4 and(C) STAT3 by luciferase reporter assay. BE(2)-C cells wereco-transfected with the indicated vectors and miRNA mimics or controloligo. After 72 h of transfection, cells were lysed and luciferaseactivity was measured. Shown are normalized luciferase activities ofdifferent treatment groups. (D) miR-506-3p and miR-124-3p overexpressiondown-regulate endogenous CDK4 and STAT3 protein expression levels. Cellswere transfected as above for 4 days, and protein levels were measuredby Western blots. (E-F) Effect of CDK4 and STAT3 knockdown on neuriteoutgrowth in BE(2)-C cells. Cells were transfected with the indicatedoligos, and neurite lengths were measured as above after 4 daystransfection. Shown are representative cell images analyzed to defineneurites and cell body areas (G) and quantification of neurite lengthunder the indicated treatment conditions (H). **, p<0.01; *** , p<0.001;****, p<0.0001.

DESCRIPTION

A HCS approach was developed to facilitate the discovery of noveldifferentiation-inducing agents for neuroblastoma. Several HCSapproaches based on quantification of neurite outgrowth have beendescribed (Radio et al., Toxicol Sci, 2008, 105(1):106-18); Yeyeodu etal., Curr Chem Genomics, 2010, 4:74-83; Price et al., J Biomol Screen,2006, 11(2):155-64; Mitchell et al., J Neurosci Methods, 2007,164(2):350-62). However, quantifications of neurite outgrowth in theseapproaches were either based on cell lines engineered to expressfluorescent reporters or involve staining of fixed cells (Radio et al.,Toxicol Sci, 2008, 105(1):106-18); Yeyeodu et al., Curr Chem Genomics,2010, 4:74-83; Price et al., J Biomol Screen, 2006, 11(2):155-64;Mitchell et al., J Neurosci Methods, 2007, 164(2):350-62). Theseapproaches are generally time-consuming. In addition, whether the extentof neurite outgrowth in neuroblastoma cells is a reliable marker toevaluate the potency of differentiation-inducing agents was not clearlycharacterized. Here it is shown that, in neuroblastoma cell lineBE(2)-C, neurite length of differentiated cells is quantifiable based onphase-contrast images of live cells and is a reliable marker of theextent of cell differentiation. This HCS approach was used to examineneuroblastoma cell differentiation by quantifying neurite outgrowth. Theneurite length distribution of untreated cells fits Gamma model, so incertain aspects this model was used to perform statistical analysis onneurite-based HCS. Screening of a library of miRNA mimics demonstratesthat the screening and statistical analysis methods are specific andsensitive for identifying differentiation-inducing agents. This approachwill facilitate future discovery of differentiation-inducing drugs anddrug targets for treating neuroblastoma.

The studies described herein provide comprehensive and direct functionalanalysis of miRNA species in inducing neuroblastoma celldifferentiation. The screen not only recapitulated several previousfindings, but also identified miRNAs that have not been known toregulate neuroblastoma differentiation. For example, methods identifiedthe function of miR-506-3p (mature sequence=uaaggcacccuucugaguaga (SEQID NO:1) in promoting neuroblastoma cell differentiation. Furtherinvestigations show that endogenous miR-506-3p expression wasdramatically increased in differentiated neuroblastoma cells. Inaddition, published data have indicated the tissue-specific expressionof miR-506 in adrenal gland, the primary tissue of origin forneuroblastoma (Liang et al., BMC Genomics, 2007, 8:166). This evidencealtogether implicated the important role of miR-506-3p in neuroblastomapathogenesis. Comprehensive analysis of miRNAs in neuroblastoma celldifferentiation is a step towards elucidating the entire picture ofmiRNA involvement in differentiation.

In the HCS studies described herein, several miRNAs that were previouslyreported to induce neuroblastoma cell differentiation were notidentified as potent inducers of cell differentiation (Le et al., MolCell Biol, 2009, 29(19):5290-305; Foley et al., Cell Death Differ, 2011,18(7):1089-98). One possible explanation of this result is that themiRNAs function in a cell specific context, and the screen describedherein was conducted in a different cell line from those used inprevious studies.

Another finding of the studies described herein is theoverrepresentation of a set of miRNA seed families in the identifieddifferentiation-inducing miRNAs. This observation leads to a conclusionthat the conservation of seed sequence among different miRNAs located atdifferent genomic regions may be an important evolution trait that isselected by nature to guard the normal cell differentiation processduring development; if one miRNA fails in its expression in cells,expression of another seed-family member will perform similar functionto prevent differentiation error. If this is true, it is expected thatmiRNA seed sequence families are more likely to be involved in celldifferentiation than miRNAs with unique sequences.

Previous studies have demonstrated the promise of synthetic miRNA mimicsas therapeutic agents in cancer treatment (Kota et al., Cell, 2009,137(6):1005-17; Trang et al., Mol Ther, 2011, 19(6):1116-22).Identification of novel differentiation-inducing miRNA mimics provides agroup of novel candidates to treat neuroblastoma. The identification ofseveral seed-sequence families that are potent differentiation inducersreinforces the notion that miRNA seed sequences play the key role indefining their biological function, which provides the rationale fordeveloping synthetic seed sequence-based oligos asdifferentiation-inducing agents. By replacing the nucleic acids in thenon-seed positions while keeping the seed sequence unchanged, variousseed sequence-based synthetic oligos can be designed in order toidentify the optimal design that has the most potent effect onneuroblastoma differentiation and has minimal non-specific cytotoxicityon normal cells and tissues. In certain aspects a miRNA mimic comprisesa seed sequence of aaggcac (SEQ ID NO:3).

Currently, differentiation agents are limited to be used forpost-remission maintenance therapy in high-risk neuroblastoma (Park etal. Hematol Oncol Clin North Am, 2010, 24(1):65-86). One of the reasonsfor this limitation is that the currently available differentiationagents are not as potent as other anti-cancer agents in ablating cancercells. However, the studies described herein show that a miR-506-3pmimic reduced neuroblastoma cell viability to a much greater extent thancis-RA.

In certain aspects targetomes are predicted based on the top 14differentiation-inducing miRNAs identified using informatics tools. Thestudies suggest that the differentiation-inducing function of a miRNA islikely mediated by concordantly down-regulating multiple targets. It ishighly likely that there are undiscovered targets of these miRNAs thatplay important roles in mediating their differentiation-inducingfunctions. Indeed, expression array analyses indicate thatmiR-506-3p/miR-124-3p overexpression down-regulates many more targetsthan those investigated in the studies described herein.

A HCS platform has been established to screen for noveldifferentiation-inducing substances in neuroblastoma cells. New miRNAsand miRNA seed families that induce neuroblastoma cell differentiationhave been identified. The study not only provides an understanding ofthe role of miRNAs in neuroblastoma differentiation, but also providesnovel leads for developing miRNA-based differentiation agents forneuroblastoma treatment.

A HCS Approach for Measuring Neuroblastoma Cell Differentiation isDeveloped Based on Neurite Quantification. Neurite outgrowth is wellrecognized as a morphological hallmark of neuroblastoma celldifferentiation in vitro (Thiele et al., Nature, 1985, 313(6001):404-06;Pahlman et al., Int J Cancer, 1981, 28(5):583-89; Reynolds andPerez-Polo, J Neurosci Res, 1981, 6(3):319-25; Prasad and Kumar, Cancer,1975, 36(4):1338-43). This facilitates the development of a HCS approachto identify differentiation-inducing agents based on quantification ofneurite outgrowth. Neuroblastoma cell line BE(2)-C shows easilydetectable neurite outgrowth upon induced differentiation by all-transretinoic acid (ATRA). As shown in FIG. 1A, ATRA (b) induces dramaticneurite outgrowth in BE(2)-C compared to control (a), and the neuritesand cell body area can be clearly defined (c, d). Quantification (FIG.1B) shows that ATRA significantly increases the relative neurite lengthcompared to control. In addition, ATRA induces neurite elongation inboth time- and dose-dependent manners (FIG. 1C-1D). Correspondingly,ATRA decreases cell viability (FIG. 1E), stimulates expression ofneuroblastoma differentiation markers (i.e., growth associated protein43 (GAP43), neuron specific enolase (NSE) and β-TUBULIN III)(Radio etal., Toxicol Sci, 2008, 105(1):106-18; Cheung et al., Neurotoxicology,2009, 30(1):127-35; Mao et al., Cancer Res, 2011, 71(12):4314-24),inhibits expression of cell proliferation markers (i.e., PCNA and Ki67),and increases expression of apoptosis markers (i.e., cleaved CASPASE 3and PARP) (FIG. 1F) in dose-dependent manners. These results indicatethat neurite length is a reliable quantitative marker of BE(2)C celldifferentiation, and therefore can be used to compare the efficacy ofdifferentiation-inducing agents. This was the basis for the HCS protocolfor identifying novel differentiation-inducing miRNAs.

HCS Identifies Novel miRNAs that Induce Neuroblasoma CellDifferentiation. Using the HCS protocol, a library of miRNA mimics(Dharmacon) were screened in BE(2)-C cells. FIG. 2A shows the neuritelength distribution associated with individual miRNA mimics. Replicatescreens for one library plate from two independent transfections showthat the results are highly reproducible (FIG. 2B) (R=0.95, p<0.0001),supporting the reliability of the screen. As shown in FIG. 2A, theneurite length distribution following treatment with miRNA mimics isasymmetric; a small fraction of miRNAs is identified as dramaticallyincreasing neurite lengths on the far right side of the distribution. Inorder to examine the neurite length distribution of unaffected cells, 13plates of untreated BE(2)-C cells were measured (FIG. 2C).Kolmogorov-Smimov goodness-of-fit test for Gamma model validityindicates that the neurite length distribution fit Gamma model (p=0.16),which informs us to use this model (FIG. 2A) to assess the effect ofindividual miRNAs. Fourteen miRNA mimics were identified assignificantly increasing neurite length using False Discovery (FDR)threshold <0.01 (Table 1). Using the same threshold, 0 hits weregenerated from untreated cells, indicating the specificity of theanalysis approach. Among the 14 miRNAs, several were related toneuroblastoma cell differentiation in previous studies (Table 1)(Makeyevet al., Mol Cell, 2007, 27(3):435-48; Annibali et al., PLoS One, 2012,7(7):e40269; Smith et al., PLoS One, 2010, 5(6):e11109; Silber et al.,BMC Med, 2008, 6:14), demonstrating the sensitivity of the HCS approach.

TABLE 1 Fourteen miRNA mimics identified fromHCS as inducing neurite outgrowth using a FDR threshold <0.01.(b) Neurite length (a) miRNA (mean ± SD) (c) p value (d) FDR(e) Mature sequence 5′-3′ hsa-miR-124-3p 14.55 ± 4.75 1.11E-11 1.37E-08UAAGGCACGCGGUGAAUGCC (SEQ ID NO: 2) hsa-miR-135b-5p 14.02 ± 4.293.26E-11 2.02E-08 UAUGGCUUUUCAUUCCUAUGUGA (SEQ ID NO: 6) hsa-miR-506-3p10.04 ± 3.41 1.05E-07 4.34E-05 UAAGGCACCCUUCUGAGUAGA(1) (SEQ ID NO: 1)hsa-miR-34a-5p  9.49 ± 3.18 3.11E-07 8.81E-05 UGGCAGUGUCUUAGCUGGUUGU(2)(SEQ ID NO: 7) hsa-miR-103a-3p  9.43 ± 2.67 3.56E-07 8.81E-05AGCAGCAUUGUACAGGGCUAUGA(3) (SEQ ID NO: 8) hsa-miR-450b-3p  9.26 ± 2.644.94E-07 1.02E-04 UUGGGAUCAUUUUGCAUCCAUA (SEQ ID NO: 9) hsa-miR-449a 9.16 ± 2.47 6.03E-07 1.07E-04 UGGCAGUGUAUUGUUAGCUGGU(2) (SEQ ID NO: 10)hsa-miR-2110  9.00 ± 2.40 8.21E-07 1.27E-04 UUGGGGAAACGGCCGCUGAGUG(SEQ ID NO: 11) hsa-miR-34b-Sp  8.41 ± 2.16 2.66E-06 3.66E-04UAGGCAGUGUCAUUAGCUGAUUG (SEQ ID NO: 12) hsa-miR-107  7.60 ± 1.981.27E-05 1.55E-03 AGCAGCAUUGUACAGGGCUAUCA(3) (SEQ ID NO: 13)hsa-miR-3714  7.56 ± 1.91 1.37E-05 1.55E-03 GAAGGCAGCAGUGCUCCCCUGU(SEQ ID NO: 14) hsa-miR-449b-5p  7.40 ± 1.85 1.89E-05 1.95E-03AGGCAGUGUAUUGUUAGCUGGC(2) (SEQ ID NO: 15) hsa-miR-137  7.03 ± 1.363.83E-05 3.65E-03 UUAUUGCUUAAGAAUACGCGUAG (SEQ ID NO: 16) hsa-miR-3937 6.93 ± 1.05 4.61E-05 4.08E-03 ACAGGCGGCUGUAGCAAUGGGGG (SEQ ID NO: 17)

The differentiation-inducing functions of the top 5 microRNAs that aremost potent in inducing neurite outgrowth were characterized (FIG.3A-3B). Comparison to control, the 5 miRNAs induce expression ofdifferentiation markers and dramatically decrease BE(2)-C cell growthrate (FIG. 3C-3D), demonstrating that true cell differentiation andgrowth arrest are induced. The 5 miRNAs were further tested inadditional neuroblastoma cell lines with different genetic backgrounds.Among the 5 miRNAs, miR-506-3p and miR-124-3p, which belong to the sameseed family (defined as a group of miRNAs that share common seedsequence, Table 1), have the most potent effect on neurite growth (FIG.3E). Correspondingly, the two miRNAs dramatically induce expression ofdifferentiation markers in all the tested cell lines (FIG. 3F-3G). Itwas shown that miR-506-3p and miR-I24-3p mimics significantly reduce theability of BE(2)-C to form colonies, indicating their long-term capacityto inhibit cell proliferation (FIG. 4A-4C). To exclude the possibilitythat the induced cell differentiation and growth arrest are caused byoff-target effects of the specific chemical designs of miRNA mimics, theeffect of miR-506-3p and miR-124-3p precursors (Ambion) ondifferentiation were examined. The miRNA precursors are partiallydouble-stranded RNAs designed to mimic the functions of the endogenousmiRNAs, in contrast to the fully complementary double-stranded design ofmiRNA mimics. FIG. 4D-4E shows that the precursors significantly inducedneurite outgrowth, recapitulating the results with miRNA mimics. Thisindicates that the differentiation-inducing function of miR-506-3p andmiR-124-3p mimics is unlikely caused by off-target effect. Overall, theabove results demonstrate the general and potent effect ofmiR-506-3p/miR-124-3p on inducing differentiation, suggesting thepotential of restoring miR-506-3p and miR-124-3p expressions as a noveldifferentiation therapeutic strategy to treat neuroblastoma.

To further examine the potential pathophysiological relevance ofendogenous miR-506-3p and miR-124-3p in regulating neuroblastomadifferentiation, expression levels were measured in differentiatedBE(2)-C cells. FIG. 4F shows that expressions of both miRNAs aresignificantly increased in differentiated cells. However, theoverexpression of miR-506-3p (380.1±48.4 fold) is much more dramaticthan that of miR-124-3p (8.1±0.4 fold). These results indicate thatendogenous miR-506-3p expression in neuroblastoma cells is highlyregulated and suggest that, relative to miR-124-3p, endogenousmiR-506-3p is likely to be a more dominant driving force in controllingcell differentiation. It was observed that miR-506-3p mimic inducesneurite outgrowth and decreases cell viability in a dose-dependentmanner, and that the induction of neurite outgrowth is significant at aconcentration as low as 0.1 nM (FIG. 4G-4H). FIG. 4H also shows that thecytotoxic effect of miR-506-3p mimic is much more potent (reducing cellviability to 6.3±0.3% when reaching plateau) than 13-cis retinoic acid(cis-RA) (42.6±3.7%), a differentiation-agent currently used to treatneuroblastoma patients (Matthay et al., J Clin Oncol, 2009,27(7):1007-13). Altogether, these results demonstrate the potentfunction of miR-506-3p in inducing differentiation and in reducing cellsurvival and growth. The role of miR-506-3p in neuroblastomatumorigenesis has not been investigated previously.

From the screen, miRNAs were also identified that significantly reducecell survival but do not induce differentiation. This indicates thatmiRNAs modulate neuroblastoma cell survival and growth through distinctmechanisms, and cell differentiation is not a prerequisite for celldeath or growth arrest, which supports the functional specificity of theidentified differentiation-inducing miRNAs in regulatingdifferentiation.

miRNA Seed Families that are Potent Inducers of Cell Differentiation areDiscovered from HCS. miRNA seed sequences are central in determiningtheir target genes (Krek et al., Nat Genet, 2005, 37(5):495-500; Lewiset al., Cell, 2005, 120(1):15-20; Stark et al., Cell, 2005,123(6):1133-46; Laurent et al., Stem Cells, 2008, 26(6):1506-16). Theseed sequences of the identified differentiation-inducing miRNAs wereanalyzed. Surprisingly, as shown in Table 1, three miRNA seed families,which accounts for 7 miRNAs, are identified within the 14 miRNAs.Enrichment analysis by random permutation shows that the probabilitythat ≥7 non-unique seed sequences appear in a set of 14 randomly drawnmiRNAs from the miRNA mimic library is p=2.2×10⁻⁷ (FIG. 5), indicatingthat miRNA seed-sequence families are significantly overrepresented inthe identified 14 miRNAs. Further investigation of the remaining 7miRNAs shows that the seed sequences of miR-135b-5p (shares seedsequence with miR-135a-5p), miR-34b-5p (shares with miR-449c-5p andmiR-2682-5p) and miR-450b-3p (shares with miR-769-3p) are not unique. Inaddition, seed sequence family 2 includes another miRNA, miR-34c-5p,which is not identified in the top 14 candidates. Close examination ofthe screen results indicates that miR-34c-5p, miR-135a-5p andmiR-449c-5p also increase the neurite lengths, ranking as 17th, 43th and128th in the screen (miR-2682-Sp was not in the library), although theeffect of miR-449c-5p did not reach statistical significance usingp<0.05 threshold. miR-769-3p does not induce neurite outgrowth, and,however, is the only exception among the identifieddifferentiation-inducing seed families.

The Identified Differentiation-inducing miRNAs are Predicted to TargetDistinct Spectra of Genes Involved in Neuroblastoma Differentiation. Theabove observations lead to the identification of potential miRNA targetsbased on seed sequence matches. 48 genes were identified that have beenpreviously demonstrated to regulate neuroblastoma differentiation usingIngenuity Pathway Analysis (IPA) (Ingenuity System). Not surprisingly,further IPA miRNA target analysis indicates that each of the miRNAs/seedfamilies is predicted to target multiple genes involved in neuroblastomadifferentiation (FIG. 6), among which the miR-506-3p/miR-124-3p familyis predicted to target 10 of the 48 genes. The results also show that,although the predicted targets of these miRNAs/seed-sequence familiesoverlap, each miRNA/seed sequence family has a unique targetome,suggesting that they are likely to induce cell differentiation throughdistinct but overlapping pathways.

CDK4 and STAT3 Play a Role in Mediating the Differentiation-inducingFunction of MIR-506-3P/MIR-124-3P Family. The targets ofmiR-506-3p/miR-124-3p family were further investigated. Table 2 showsthat the expression changes of the 10 predicted target genes ofmiR-506-3p/miR-124-3p induced by their overexpressions are almostidentical (Table 2), further demonstrating that the seed-sequence isdominant in determining the miRNA function. The two miRNAs dramaticallydown-regulate two of the ten predicted targets, CDK4 and STAT3. FIG. 7Ashows the interactions of the two miRNAs with the predicted target sitesin the 3′UTR of CDK4 and STAT3. Their target sites were validated in the3′UTRs of CDK4 and STAT3 using luciferase reporter assays (FIG. 7B-7C).Overexpressions of the two miRNAs were shown to down-regulate endogenousCDK4 and STAT3 protein levels (FIG. 7D). FIG. 7E-7F shows thatindividual repression of CDK4 and STAT3 expression induces neuriteoutgrowth, and that their combined repression has an enhanced effect onneurite outgrowth relative to individual repression. These resultsindicate that CDK4 and STAT3 mediate, at least partially, thedifferentiation-inducing function of miR-506-3p/miR-124-3p, and suggestthat the effect of miR-506-3p/miR-124-3p on cell differentiation aremost likely mediated by concordantly down-regulating multiple targetgenes.

TABLE 2 Changes of expression for the 10 predicted targets of themiR-506-3p/miR-124-3p family induced by miR-506-3p and miR-124-3poverexpression. Gene expression Gene (1) miR-506-3p (2) miR-124-3p CDK40.39 0.43 STAT3 0.75 0.75 CEBPA 0.88 0.86 PML 1.01 1 RARG 1.02 1.03 BDNF1.04 1.06 THRB 1.04 1.06 RHOQ 1.07 1.13 SHC3 1.08 1.07 AHR 1.19 1.17

Materials. ATRA and cis-RA were from Sigma (St Luis, Mo., USA).Dharmacon miRNA mimic library and individual miRNA mimics were fromThermo Fisher Scientific (Rockford, Ill., USA). miRNA precursors werepurchased from Ambion (Foster City, Calif., USA). Rabbit anti-GAP43,anti-NSE, and anti β-TUBULIN III were from Abeam (Cambridge, Mass.,USA). Rabbit anti-CALNEXIN, anti-GAPDH and goat anti-rabbit secondaryantibody conjugated with horseradish peroxidase (HRP) were from SantaCruz (Dallas, Tex., USA). Rabbit anti-PARP (cleaved), anti-CASPASE-3,anti-STAT3, and anti-CDK4, were from Cell Signaling (Danvers, Mass.,USA). Rabbit anti-Ki67 was from Millipore (Billerica, Mass., USA).

Cell Lines. BE(2)-C cells were purchased from the ATCC. Other cell lineswere obtained from the cell line repository at the Greehey Children'sCancer Research Institute. Cells were grown in DMEM/F12 supplementedwith 10% fetal bovine serum.

Detection and Quantification of Neurite Outgrowth. Cells were plated andtreated in 96-well plates. For detecting neurite outgrowth, cells wereplaced into ZOOM IncuCyte Imaging System (Essen BioScience) and cellimages were taken under 20× microscopic magnification. For detectingneurite outgrowth in a time-dependent manner, cell images were takenevery 6 h. The neurite lengths associated with each treatment werecalculated using the neurite definition defined for each specific cellline using the NeuroTrack system (Essen BioScience).

Analysis of HCS Data. The relative neurite length associated with cellsin each well on the screen plates was determined as above. In order toallow for plate-to-plate comparison, neurite length associated with eachwell in each plate was first internally normalized to the mean of thecorresponding plate, and multiple screen plates were then aggregatedtogether to generate the neurite length distribution. The data were thenfurther analyzed to determine the distribution of the unaffected cellsas described below, and to identify differentiation-inducing miRNAmimics.

Kolmogorov-Smirnov Goodness-Of-Fit Test For Gamma Model Validity. Inorder to examine whether the neurite length distribution of theuntreated cells fit Gamma distribution, Gaussian kernel smoothing wasfirst performed to generate the empirical density curve based on theneurite length distribution histogram of the untreated cells, and Gammamodel parameters (a, b) were then estimated by minimizing the area inbetween empirical and Gamma distribution curves. Statisticalsignificance of the fitness to Gamma distribution was examined byKolmogorov-Smirnov goodness-of-fit test, with p<0.05 considered asrejecting the null hypothesis that the neurite length distribution fitsGamma distribution.

Western Blots. Cell lysates were prepared using RIPA buffer. Proteinconcentration was determined using the Pierce BCA assay (Thermo FisherScientific). For electrophoresis, equal amounts of cell lysate wereresolved by SDS-PAGE and transferred to Immun-Blot PVDF membranes(Bio-Rad Laboratories). Membranes were blocked and probed with primaryantibodies to specific proteins. Bound antibodies were detected withsecondary antibodies conjugated with horseradish peroxidase (HRP)visualized by enhanced chemiluminescent (ECL) substrate (Pierce).

Cell Growth Rate Assay. Cells were plated in 96-well plates and weretreated with specified conditions. Cell were placed into the IncuCyteimaging system and cell confluence was monitored every 6 h for 120 h.The cell growth curves were derived by comparing the cell confluences atdifferent time points.

Cell Viability Assay. Cells were plated in 96-well format and treated asspecified. After culturing for 120 h, cell viability was determinedusing the CellTiter-Glo Luminescent Cell Viability Assay (Promega).

Colony Formation Assay. Cells were transfected as specified and culturedovernight. 500 cells were re-plated in 10 cm dishes. After 14 days,colonies were visualized by staining with 1% crystal violet. Colonynumbers and sizes were analyzed using Image J (NIH, Bethesda, Md.).

Enrichment Analysis Of Mirna Seed Families. We use random permutation toexamine whether miRNA seed families are significantly enriched in theidentified set of differentiation-inducing miRNAs. The miRNA mimiclibrary includes mimics for 1231 human miRNAs listed in miRBase 16.0.Among these miRNAs, 900 miRNAs have unique seed sequences; 331 miRNAsshare seed sequences with at least one other miRNA, constituting 125seed sequence families. To calculate the probability of miRNAs from thesame seed families randomly appears in a set of 14 miRNAs, 14 miRNAswere randomly drawn from the 1231 miRNAs, and the number of non-uniqueseed sequences within the 14 miRNAs is counted (X). 10⁸ permutationswere run to determine the probability that at least X non-unique seedsequences appear in a randomly selected set of 14 miRNAs (p(X)).

Mirna Target Prediction And Pathway Analysis. miRNA target sites in3′UTRs were predicted based on seed sequence complementarity and wereidentified using the IPA Pathway analysis function, which identifies any7-nucleotide region (3′-5′) in a given 3′ UTR completely complementaryto the seed sequence of a miRNA (2nd-8th or 1st-7th nucleotides, 5′-3′)as a potential target site of this miRNA. To identify targets thatpotentially mediate the differentiation-inducing function of ouridentified miRNAs, we first identified the genes that have been known torelate to neuroblastoma differentiation using IPA. From this gene list,predicted targets were identified for each miRNA and generated thepredicted miRNA:target interaction network mediating thedifferentiation-inducing function of the identified miRNAs.

Mrna And Mirna Expression. Total RNA was isolated as previouslydescribed (Du et al., Mol Cancer Res, 2009, 7(8):1234-43). mRNAexpression profiling was done using the Illumina mRNA WG-6 v3 microarrayplatform. miRNA expression was measured by qRT-PCR using TaqMan microRNAAssays (Life Technologies) with average expression of RNU44 RNA, RNU19RNA, GAPDH mRNA and 18s rRNA used as controls for normalizing RNAloading.

Luciferase Reporter Assay. The segments of the wildtype 3′ UTRs for CDK4and STAT3 containing the predicted target sites of miR-506-3p andmiR-124-3p were cloned from human genomic DNA. Mutant constructs weregenerated with the seed target site (GUGCCUU (SEQ ID NO:4)) replaced byCACGGUU (SEQ ID NO:5). The 3′ UTRs were cloned downstream of the fireflyluciferase coding sequences into the pmirGLO dual-luciferase reporter(Promega), a vector containing both firefly and Renilla luciferase cDNAsunder the control of separate promoter/terminator systems. The fireflyluciferase was used as the primary reporter for miRNA regulation of the3′ UTR. The Renilla luciferase is an internal control for normalization.BE(2)-C cells were co-transfected with luciferase reporters (0.8 ng/μl)and miRNA mimics or control oligonucleotide (oligo) (25 nM). Luciferaseactivities were measured after 72 h using the Dual-Glo Luciferase AssaySystem (Promega). Firefly luciferase activity was normalized to Renillaluciferase activity to evaluate the effect of the miRNAs.

Statistical Analysis. For HCS, p-value for neurite length associatedwith each miRNA mimic was evaluated by assuming the distribution ofneurite lengths follows Gamma distribution, and false Discovery Rate(FDR) was determined by Benjamini-Hochberg correction method formultiple tests (Benjamin, Journal of the Royal Statistical SocietySeries B (Methodological), 1995, 57(1):12). We consider a miRNA with FDR<0.01 as significantly inducing neurite outgrowth. For all otherconditions, the statistical significance for each treatment wasdetermined using t-test by comparing the treatment group with control,with p<0.05 considered statistically significant.

I. Nucleic Acids

The present invention concerns miRNAs that can be employed intherapeutic applications, particularly those related to neuroblastoma.The RNA may have been endogenously produced by a cell, or beensynthesized or produced chemically or recombinantly. They may beisolated and/or purified. The term “miRNA,” unless otherwise indicated,refers to the processed RNA, after it has been cleaved from itsprecursor.

In certain embodiments, a miRNA is designated with a “5P” or “3P”suffix. “5P ” indicates that the mature miRNA derives from the 5′ end ofthe precursor and a corresponding “3P” indicates that it derives fromthe 3′ end of the precursor, as described on the world wide web atsanger.ac.uk.

In some embodiments of the invention, methods and compositions involvingmiRNA may concern miRNA and/or other nucleic acids. Nucleic acids maybe, be at least, or be at most 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14,15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32,33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50,51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68,69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86,87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103,104, 105, 106, 107, 108, 109, 110, 120, 130, 140, 150, 160, 170, 180,190, 200, 210, 220, 230, 240, 250, 260, 270, 280, 290, 300, 310, 320,330, 340, 350, 360, 370, 380, 390, 400, 410, 420, 430, 440, 441, 450,460, 470, 480, 490, 500, 510, 520, 530, 540, 550, 560, 570, 580, 590,600, 610, 620, 630, 640, 650, 660, 670, 680, 690, 700, 710, 720, 730,740, 750, 760, 770, 780, 790, 800, 810, 820, 830, 840, 850, 860, 870,880, 890, 900, 910, 920, 930, 940, 950, 960, 970, 980, 990, or 1000nucleotides, or any range derivable therein, in length. Such lengthscover the lengths of processed miRNA, miRNA probes, precursor miRNA,miRNA containing vectors, control nucleic acids, and other probes andprimers.

Nucleic acids, and mimetics thereof, of the invention may have regionsof identity or complementarity to another nucleic acid. It iscontemplated that the region of complementarity or identity can be atleast 5 contiguous residues, though it is specifically contemplated thatthe region is, is at least, or is at most 6, 7, 8, 9, 10, 11, 12, 13,14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, or 25 contiguousnucleotides.

The term “recombinant” may be used and this generally refers to amolecule that has been manipulated in vitro or that is a replicated orexpressed product of such a molecule.

The term “nucleic acid” is well known in the art. A “nucleic acid” asused herein will generally refer to a molecule (one or more strands) ofDNA, RNA or a derivative or analog thereof, comprising a nucleobase. Anucleobase includes, for example, a naturally occurring purine orpyrimidine base found in DNA (e.g., an adenine “A,” a guanine “G,” athymine “T” or a cytosine “C”) or RNA (e.g., an A, a G, an uracil “U” ora C). The term “nucleic acid” encompasses the terms “oligonucleotide”and “polynucleotide,” each as a subgenus of the term “nucleic acid.”

A. Nucleobases

As used herein a “nucleobase” refers to a heterocyclic base, such as forexample a naturally occurring nucleobase (i.e., an A, T, G, C or U)found in at least one naturally occurring nucleic acid (i.e., DNA andRNA), and naturally or non-naturally occurring derivative(s) and analogsof such a nucleobase. A nucleobase generally can form one or morehydrogen bonds (“anneal” or “hybridize”) with at least one naturallyoccurring nucleobase in manner that may substitute for naturallyoccurring nucleobase pairing (e.g., the hydrogen bonding between A andT, G and C, and A and U).

“Purine” and/or “pyrimidine” nucleobase(s) encompass naturally occurringpurine and/or pyrimidine nucleobases and also derivative(s) andanalog(s) thereof, including but not limited to, those a purine orpyrimidine substituted by one or more of an alkyl, carboxyalkyl, amino,hydroxyl, halogen (i.e., fluoro, chloro, bromo, or iodo), thiol oralkylthiol moiety. Preferred alkyl (e.g., alkyl, carboxyalkyl, etc.)moieties comprise of from about 1, about 2, about 3, about 4, about 5,to about 6 carbon atoms. Other non-limiting examples of a purine orpyrimidine include a deazapurine, a 2,6-diaminopurine, a 5-fluorouracil,a xanthine, a hypoxanthine, a 8-bromoguanine, a 8-chloroguanine, abromothymine, a 8-aminoguanine, a 8-hydroxyguanine, a 8-methylguanine, a8-thioguanine, an azaguanine, a 2-aminopurine, a 5-ethylcytosine, a5-methylcyosine, a 5-bromouracil, a 5-ethyluracil, a 5-iodouracil, a5-chlorouracil, a 5-propyluracil, a thiouracil, a 2-methyladenine, amethylthioadenine, a N,N-diemethyladenine, an azaadenines, a8-bromoadenine, a 8-hydroxyadenine, a 6-hydroxyaminopurine, a6-thiopurine, a 4-(6-aminohexyl/cytosine), and the like. Other examplesare well known to those of skill in the art.

A nucleobase may be comprised in a nucleoside or nucleotide, using anychemical or natural synthesis method described herein or known to one ofordinary skill in the art. Such nucleobase may be labeled or it may bepart of a molecule that is labeled and contains the nucleobase.

B. Nucleosides

As used herein, a “nucleoside” refers to an individual chemical unitcomprising a nucleobase covalently attached to a nucleobase linkermoiety. A non-limiting example of a “nucleobase linker moiety” is asugar comprising 5-carbon atoms (i.e., a “5-carbon sugar”), includingbut not limited to a deoxyribose, a ribose, an arabinose, or aderivative or an analog of a 5-carbon sugar. Non-limiting examples of aderivative or an analog of a 5-carbon sugar include a2′-fluoro-2′-deoxyribose or a carbocyclic sugar where a carbon issubstituted for an oxygen atom in the sugar ring.

Different types of covalent attachment(s) of a nucleobase to anucleobase linker moiety are known in the art. By way of non-limitingexample, a nucleoside comprising a purine (i.e., A or G) or a7-deazapurine nucleobase typically covalently attaches the 9 position ofa purine or a 7-deazapurine to the 1′-position of a 5-carbon sugar. Inanother non-limiting example, a nucleoside comprising a pyrimidine.nucleobase (i.e., C, T or U) typically covalently attaches a 1 positionof a pyrimidine to a 1′-position of a 5-carbon sugar (Kornberg andBaker, 1992).

C. Nucleotides

As used herein, a “nucleotide” refers to a nucleoside further comprisinga “backbone moiety.” A backbone moiety generally covalently attaches anucleotide to another molecule comprising a nucleotide, or to anothernucleotide to form a nucleic acid. The “backbone moiety” in naturallyoccurring nucleotides typically comprises a phosphorus moiety, which iscovalently attached to a 5-carbon sugar. The attachment of the backbonemoiety typically occurs at either the 3′- or 5′-position of the 5-carbonsugar. However, other types of attachments are known in the art,particularly when a nucleotide comprises derivatives or analogs of anaturally occurring 5-carbon sugar or phosphorus moiety.

D. Nucleic Acid Analogs

A nucleic acid may comprise, or be composed entirely of, a derivative oranalog of a nucleobase, a nucleobase linker moiety and/or backbonemoiety that may be present in a naturally occurring nucleic acid. RNAwith nucleic acid analogs may also be labeled according to methods ofthe invention. As used herein a “derivative” refers to a chemicallymodified or altered form of a naturally occurring molecule, while theterms “mimic” or “analog” refer to a molecule that may or may notstructurally resemble a naturally occurring molecule or moiety, butpossesses similar functions. As used herein, a “moiety” generally refersto a smaller chemical or molecular component of a larger chemical ormolecular structure. Nucleobase, nucleoside and nucleotide analogs orderivatives are well known in the art, and have been described (see forexample, Scheit, 1980, incorporated herein by reference).

Additional non-limiting examples of nucleosides, nucleotides or nucleicacids comprising 5-carbon sugar and/or backbone moiety derivatives oranalogs, include those in: U.S. Pat. No. 5,681,947, which describesoligonucleotides comprising purine derivatives that form triple helixeswith and/or prevent expression of dsDNA; U.S. Pat. Nos. 5,652,099 and5,763,167, which describe nucleic acids incorporating fluorescentanalogs of nucleosides found in DNA or RNA, particularly for use asfluorescent nucleic acids probes; U.S. Pat. No. 5,614,617, whichdescribes oligonucleotide analogs with substitutions on pyrimidine ringsthat possess enhanced nuclease stability; U.S. Pat. Nos. 5,670,663,5,872,232 and 5,859,221, which describe oligonucleotide analogs withmodified 5-carbon sugars (i.e., modified 2′-deoxyfuranosyl moieties)used in nucleic acid detection; U.S. Pat. No. 5,446,137, which describesoligonucleotides comprising at least one 5-carbon sugar moietysubstituted at the 4′ position with a substituent other than hydrogenthat can be used in hybridization assays; U.S. Pat. No. 5,886,165, whichdescribes oligonucleotides with both deoxyribonucleotides with 3-5internucleotide linkages and ribonucleotides with 2′-5′ internucleotidelinkages; U.S. Pat. No. 5,714,606, which describes a modifiedinternucleotide linkage wherein a 3′-position oxygen of theinternucleotide linkage is replaced by a carbon to enhance the nucleaseresistance of nucleic acids; U.S. Pat. No. 5,672,697, which describesoligonucleotides containing one or more 5′ methylene phosphonateinternucleotide linkages that enhance nuclease resistance; U.S. Pat.Nos. 5,466,786 and 5,792,847, which describe the linkage of asubstituent moiety which may comprise a drug or label to the 2′ carbonof an oligonucleotide to provide enhanced nuclease stability and abilityto deliver drugs or detection moieties; U.S. Pat. No. 5,223,618, whichdescribes oligonucleotide analogs with a 2 or 3 carbon backbone linkageattaching the 4′ position and 3 position of adjacent 5-carbon sugarmoiety to enhanced cellular uptake, resistance to nucleases andhybridization to target RNA; U.S. Pat. No. 5,470,967, which describesoligonucleotides comprising at least one sulfamate or sulfamideinternucleotide linkage that are useful as nucleic acid hybridizationprobe; U.S. Pat. Nos. 5,378,825, 5,777,092, 5,623,070, 5,610,289 and5,602,240, which describe oligonucleotides with three or four atomlinker moiety replacing phosphodiester backbone moiety used for improvednuclease resistance, cellular uptake, and regulating RNA expression;U.S. Pat. No. 5,858,988, which describes hydrophobic carrier agentattached to the 2′-O position of oligonucleotides to enhanced theirmembrane permeability and stability; U.S. Pat. No. 5,214,136, whichdescribes oligonucleotides conjugated to anthraquinone at the 5′terminus that possess enhanced hybridization to DNA or RNA; enhancedstability to nucleases; U.S. Pat. No. 5,700,922, which describesPNA-DNA-PNA chimeras wherein the DNA comprises2′-deoxy-erythro-pentofuranosyl nucleotides for enhanced nucleaseresistance, binding affinity, and ability to activate RNase H; and U.S.Pat. No. 5,708,154, which describes RNA linked to a DNA to form aDNA-RNA hybrid; U.S. Pat. No. 5,728,525, which describes the labeling ofnucleoside analogs with a universal fluorescent label.

Additional teachings for nucleoside analogs and nucleic acid analogs areU.S. Pat. No. 5,728,525, which describes nucleoside analogs that areend-labeled; U.S. Pat. Nos. 5,637,683, 6,251,666 (L-nucleotidesubstitutions), and 5,480,980 (7-deaza-2′ deoxyguanosine nucleotides andnucleic acid analogs thereof).

E. Modified Nucleotides

Modified nucleotides for use in the invention are not naturallyoccurring nucleotides, but instead, refer to prepared nucleotides thathave a reactive moiety on them. Specific reactive functionalities ofinterest include: amino, sulfhydryl, sulfoxyl, aminosulfhydryl, azido,epoxide, isothiocyanate, isocyanate, anhydride, monochlorotriazine,dichlorotriazine, mono- or dihalogen substituted pyridine, mono- ordisubstituted diazine, maleimide, epoxide, aziridine, sulfonyl halide,acid halide, alkyl halide, aryl halide, alkylsulfonate,N-hydroxysuccinimide ester, imido ester, hydrazine, azidonitrophenyl,azide, 3-(2-pyridyl dithio)-propionamide, glyoxal, aldehyde, iodoacetyl,cyanomethyl ester, p-nitrophenyl ester, o-nitrophenyl ester,hydroxypyridine ester, carbonyl imidazole, and the other such chemicalgroups. In some embodiments, the reactive functionality may be bondeddirectly to a nucleotide, or it may be bonded to the nucleotide througha linking group. The functional moiety and any linker cannotsubstantially impair the ability of the nucleotide to be added to themiRNA or to be labeled. Representative linking groups include carboncontaining linking groups, typically ranging from about 2 to 18, usuallyfrom about 2 to 8 carbon atoms, where the carbon containing linkinggroups may or may not include one or more heteroatoms, e.g. S, O, Netc., and may or may not include one or more sites of unsaturation. Ofparticular interest in many embodiments, are alkyl linking groups,typically lower alkyl linking groups of 1 to 16, usually 1 to 4 carbonatoms, where the linking groups may include one or more sites ofunsaturation. The functionalized nucleotides (or primers) used in theabove methods of functionalized target generation may be fabricatedusing known protocols or purchased from commercial vendors, e.g., Sigma,Roche, Ambion, Biosearch Technologies and NEN. Functional groups may beprepared according to ways known to those of skill in the art, includingthe representative information found in U.S. Pat. Nos. 4,404,289;4,405,711; 4,337,063 and 5,268,486, and U.K. Patent 1,529,202, which areall incorporated by reference.

Amine-modified nucleotides are used in several embodiments of theinvention. The amine-modified nucleotide is a nucleotide that has areactive amine group for attachment of the label. It is contemplatedthat any ribonucleotide (G, A, U, or C) or deoxyribonucleotide (G, A, T,or C) can be modified for labeling. Examples include, but are notlimited to, the following modified ribo- and deoxyribo-nucleotides:5-(3-aminoallyl)-UTP; 8-[(4-amino)butyl]-amino-ATP and8-[(6-amino)butyl]-amino-ATP; N6-(4-amino)butyl-ATP,N6-(6-amino)butyl-ATP, N4-[2,2-oxy-bis-(ethylamine)]-CTP;N6-(6-Amino)hexyl-ATP; 8-[(6-Amino)hexyl]-amino-ATP;5-propargylamino-CTP, 5-propargylamino-UTP; 5-(3-aminoallyl)-dUTP;8-[(4-amino)butyl]-amino-dATP and 8-[(6-amino)butyl]-amino-dATP;N6-(4-amino)butyl-dATP, N6-(6-amino)butyl-dATP,N4-[2,2-oxy-bis-(ethylamine)]-dCTP; N6-(6-Amino)hexyl-dATP;8-[(6-Amino)hexyl]-amino-dATP; 5-propargylamino-dCTP, and5-propargylamino-dUTP. Such nucleotides can be prepared according tomethods known to those of skill in the art. Moreover, a person ofordinary skill in the art could prepare other nucleotide entities withthe same amine-modification, such as a 5-(3-aminoallyl)-CTP, GTP, ATP,dCTP, dGTP, dTTP, or dUTP in place of a 5-(3-aminoallyl)-UTP.

A nucleic acid may be made or prepared by any technique known to one ofordinary skill in the art, such as for example, chemical synthesis,enzymatic production or biological production. It is specificallycontemplated that nucleic acids of the invention are chemicallysynthesized.

F. Labels and Labeling Techniques

In some embodiments, the present invention concerns miRNA that arelabeled. It is contemplated that miRNA may first be isolated and/orpurified prior to labeling. This may achieve a reaction that moreefficiently labels the miRNA, as opposed to other RNA in a sample inwhich the miRNA is not isolated or purified prior to labeling. In manyembodiments of the invention, the label is non-radioactive. Generally,nucleic acids may be labeled by adding labeled nucleotides (one-stepprocess) or adding nucleotides and labeling the added nucleotides(two-step process).

Labels on miRNA or miRNA probes may be colorimetric (includes visibleand UV spectrum, including fluorescent), luminescent, enzymatic, orpositron emitting (including radioactive). The label may be detecteddirectly or indirectly. Radioactive labels include 125I, 32P, 33P, and35S. Examples of enzymatic labels include alkaline phosphatase,luciferase, horseradish peroxidase, and β-galactosidase. Labels can alsobe proteins with luminescent properties, e.g., green fluorescent proteinand phicoerythrin.

II. Pharmaceutical Formulations and Administration

In certain embodiments, the invention also provides compositionscomprising 1, 2, 3 or more anti-cancer agents with one or more of thefollowing: a pharmaceutically acceptable diluent; a carrier; asolubilizer; an emulsifier; a preservative; and/or an adjuvant. Suchcompositions may contain an effective amount of at least one anti-canceragent. Thus, the use of one or more anti-cancer agents that are providedherein in the preparation of a pharmaceutical composition of amedicament is also included. Such compositions can be used in thetreatment of neuroblastoma.

For the compounds of the present invention, alone or as part of apharmaceutical composition, such doses are between about 0.001 mg/kg and1 mg/kg body weight, preferably between about 1 and 100 μg/kg bodyweight, most preferably between 1 and 10 μg/kg body weight.

Therapeutically effective doses will be easily determined by one ofskill in the art and will depend on the severity and course of thedisease, the patient's health and response to treatment, the patient'sage, weight, height, sex, previous medical history and the judgment ofthe treating physician.

In some methods of the invention, the cancer cell is a tumor cell. Thecancer cell may be in a patient. The patient may have a solid tumor. Insuch cases, embodiments may further involve performing surgery on thepatient, such as by resecting all or part of the tumor. Compositions maybe administered to the patient before, after, or at the same time assurgery. In additional embodiments, patients may also be administereddirectly, endoscopically, intratracheally, intratumorally,intravenously, intralesionally, intramuscularly, intraperitoneally,regionally, percutaneously, topically, intrarterially, intravesically,or subcutaneously. Therapeutic compositions may be administered 1, 2, 3,4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20 or moretimes, and they may be administered every 1, 2, 3, 4, 5, 6, 7, 8, 9, 10,11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24 hours, or 1, 2,3, 4, 5, 6, 7 days, or 1, 2, 3, 4, 5 weeks, or 1, 2, 3, 4, 5, 6, 7, 8,9, 10, 11, 12 months.

Methods of the invention include supplying or enhancing the activity ofone or more miRNAs in a cell. The present invention also concernsinducing certain cellular characteristics by providing to a cell aparticular nucleic acid, such as a specific synthetic miRNA molecule.However, in methods of the invention, the miRNA molecule need not besynthetic. They may have a sequence that is identical to a naturallyoccurring miRNA or they may not have any design modifications. Incertain embodiments, the miRNA molecule is synthetic, as discussedherein.

The particular nucleic acid molecule provided to the cell is understoodto correspond to a particular miRNA or seed family in the cell, andthus, the miRNA in the cell is referred to as the “corresponding miRNA.”It is contemplated, however, that the miRNA molecule introduced into acell is not a mature miRNA but is capable of becoming a mature miRNAunder the appropriate physiological conditions. In particularembodiments, more than one miRNA molecule is introduced into a cell.

Methods include identifying a cell or patient in need of inducing thosecellular characteristics. Also, it will be understood that an amount ofa synthetic nucleic acid that is provided to a cell or organism is an“effective amount,” which refers to an amount needed to achieve adesired goal, such as inducing a particular cellular characteristic(s).

In certain embodiments of the methods include providing or introducingto a cell a nucleic acid molecule corresponding to a mature miRNA in thecell in an amount effective to achieve a desired physiological result.

Moreover, methods can involve providing synthetic or nonsynthetic miRNAmolecules. It is contemplated that in these embodiments, methods may ormay not be limited to providing only one or more synthetic miRNAmolecules or only one or more nonsynthetic miRNA molecules. Thus, incertain embodiments, methods may involve providing both synthetic andnonsynthetic miRNA molecules. In this situation, a cell or cells aremost likely provided a synthetic miRNA molecule corresponding to aparticular miRNA and a nonsynthetic miRNA molecule corresponding to adifferent miRNA.

In some embodiments, there is a method for reducing or inhibiting cellproliferation in a cell comprising introducing into or providing to thecell an effective amount of a synthetic or nonsynthetic miRNA moleculethat corresponds to an miRNA sequence.

In particular embodiments, the cancer is neuroblastoma. Methods of theinvention can further comprise administering a second therapy, such aschemotherapy, radiotherapy, surgery, or immunotherapy. The nucleic acidcan be transcribed from a nucleic acid vector, such as a plasmid vectoror a viral vector.

Methods of treating a pre-cancerous or cancerous condition includecontacting or administering to a pre-cancerous or cancer cell one ormore nucleic acid comprising a miRNA sequence.

In certain aspects, one or more miRNA sequence may include or comprise amodified nucleobase or nucleic acid sequence.

The methods may further comprise administering a second therapy. Thesecond therapy can be, but is not limited to chemotherapy, radiotherapy,surgery, or immunotherapy.

In still further aspects, one or more miRNA are transcribed from anucleic acid vector, such as a plasmid or viral vector.

In certain aspects, a subject is administered: one or more nucleic acidpossessing a function of an miRNA having a nucleic acid segment havingat least 80, 85, 90, 95, 97, 98, 99, or 100% nucleic acid sequenceidentity to those miRNA decreased or down-regulated in a disease orcondition to be treated.

Synthetic nucleic acids can be administered to the subject or patientusing modes of administration that are well known to those of skill inthe art, particularly for therapeutic applications. It is particularlycontemplated that a patient is human or any other mammal or animal.

It will be understood in methods of the invention that a cell or otherbiological matter such as an organism (including patients) can beprovided an miRNA or miRNA molecule corresponding to a particular miRNAby administering to the cell or organism a nucleic acid molecule thatfunctions as the corresponding miRNA once inside the cell. The form ofthe molecule provided to the cell may not be the form that acts as anmiRNA once inside the cell. Thus, it is contemplated that in someembodiments, biological matter is provided a synthetic miRNA or anonsynthetic miRNA, such as one that becomes processed into a mature andactive miRNA once it has access to the cell's miRNA processingmachinery. In certain embodiments, it is specifically contemplated thatthe miRNA molecule provided to the biological matter is not a maturemiRNA molecule but a nucleic acid molecule that can be processed intothe mature miRNA once it is accessible to miRNA processing machinery.The term “nonsynthetic” in the context of miRNA means that the miRNA isnot “synthetic,” as defined herein. Furthermore, it is contemplated thatin embodiments of the invention that concern the use of syntheticmiRNAs, the use of corresponding nonsynthetic miRNAs is also consideredan aspect of the invention, and vice versa.

In addition, methods of the invention concern employing one or morenucleic acids corresponding to an miRNA and a therapeutic drug. Thenucleic acid can enhance the effect or efficacy of the drug, reduce anyside effects or toxicity, modify its bioavailability, and/or decreasethe dosage or frequency needed. In certain embodiments, the therapeuticdrug is a cancer therapeutic. Consequently, in some embodiments, thereis a method of treating cancer in a patient comprising administering tothe patient the cancer therapeutic and an effective amount of at leastone miRNA molecule. Cancer therapies also include a variety ofcombination therapies with both chemical and radiation based treatments.Combination chemotherapies include but are not limited to, for example,bevacizumab, cisplatin (CDDP), carboplatin, EGFR inhibitors (gefitiniband cetuximab), procarbazine, mechlorethamine, cyclophosphamide,camptothecin, COX-2 inhibitors (e.g., celecoxib) ifosfamide, melphalan,chlorambucil, busulfan, nitrosurea, dactinomycin, daunorubicin,doxorubicin (adriamycin), bleomycin, plicomycin, mitomycin, etoposide(VP16), tamoxifen, raloxifene, estrogen receptor binding agents, taxol,taxotere, gemcitabien, navelbine, farnesyl-protein transferaseinhibitors, transplatinum, 5-fluorouracil, vincristin, vinblastin andmethotrexate, or any analog or derivative variant thereof.

1. A microRNA mimic comprising a seed sequence of aaggcac (SEQ ID NO:3).2. The microRNA mimic of claim 1, wherein the mimic is at most 150nucleotides in length.
 3. The microRNA mimic of claim 1, wherein themimic is 17 to 130 nucleotides in length.
 4. The microRNA mimic of claim1, further comprising a mature sequence that is at least 90% identicalto uaaggcacccuucugaguaga (SEQ ID NO:1).
 5. The microRNA mimic of claim4, further comprising complementary region.
 6. A method of treatingneuroblastoma comprising administering microRNA comprising a seedsequence of aaggcac (SEQ ID NO:3) to a subject having neuroblastoma. 7.The method claim 6, wherein the mimic is at most 150 nucleotides inlength.
 8. The microRNA mimic of claim 6, wherein the mimic is 17 to 130nucleotides in length.
 9. The microRNA mimic of claim 6, furthercomprising a mature sequence that is at least 90% identical touaaggcacccuucugaguaga (SEQ ID NO:1).
 10. The microRNA mimic of claim 9,further comprising complementary region.
 11. The method of claim 6,further comprising administering a second anti-cancer therapy.
 12. Amethod of identifying neuroblastoma differentiation-inducing agentscomprising: (a) culturing a cell capable of neurite outgrowth upondifferentiation with a candidate agent; (b) after an appropriate periodof time quantifying neurite outgrowth, wherein quantifiable neuriteoutgrowth indicates the candidate agent is a neuroblastomadifferentiation-inducer.
 13. A method of treating neuroblastomacomprising administering an agent identified using the method of claim 1to a subject having neuroblastoma.